Retrospective evaluation of factors affecting successful fit testing of respiratory protective equipment during the early phase of COVID-19.
Retrospective evaluation of factors affecting successful fit testing of respiratory protective equipment during the early phase of COVID-19.
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DOI：
10.1136/bmjopen-2022-065068
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发表时间：
2023-05-25
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
呼吸防护设备对于保护医护人员免受 COVID-19 感染至关重要，其中包括过滤式面罩呼吸器 (FFP3)。有报道称，医护人员存在适配问题，但影响适配结果的因素在很大程度上尚不清楚。本研究旨在评估影响呼吸器佩戴结果的因素。这是一项回顾性评价研究。我们对 2020 年 7 月至 8 月期间英格兰的国家适配性测试结果数据库进行了二次分析。该研究涉及英格兰的国家医疗服务 (NHS) 医院。分析中纳入了 5604 名医护人员的 9592 项适合性测试结果观察结果。对英国 NHS 工作的一群医护人员进行 FFP3 适合度测试。主要结果指标是适合性测试结果，即特定呼吸器的通过或失败。使用关键人口统计数据（包括 5604 名医护人员的年龄、性别、种族和面部尺寸）来比较拟合结果。该分析共纳入了 5604 名医护人员的 9592 条观察结果。使用混合效应逻辑回归模型来确定影响适合性测试结果的因素。结果显示，男性的适配测试成功率显着高于女性（p<0.05）（OR 1.51；95%CI 1.27 至 1.81）。非白人种族的人佩戴呼吸器成功的几率明显较低；黑人（OR 0.65；95%CI 0.51 至 0.83）、亚洲人（OR 0.62；95%CI 0.52 至 0.74）和混血（OR 0.60；95%CI 0.45 至 0.79）。在 COVID-19 的早期阶段，女性和非白人种族成功使用呼吸机的可能性较小需要进一步研究来设计新的呼吸器，为舒适、有效的佩戴提供平等的机会。 这些设备。
Respiratory protective equipment is critical to protect healthcare workers from COVID-19 infection, which includes filtering facepiece respirators (FFP3). There are reports of fitting issues within healthcare workers, although the factors affecting fitting outcomes are largely unknown. This study aimed to evaluate factors affecting respirator fitting outcomes. This is a retrospective evaluation study. We conducted a secondary analysis of a national database of fit testing outcomes in England between July and August 2020. The study involves National Health Service (NHS) hospitals in England. A total of 9592 observations regarding fit test outcomes from 5604 healthcare workers were included in the analysis. Fit testing of FFP3 on a cohort of healthcare workers in England, working in the NHS. Primary outcome measure was the fit testing result, that is, pass or fail with a specific respirator. Key demographics, including age, gender, ethnicity and face measurements of 5604 healthcare workers, were used to compare fitting outcomes. A total of 9592 observations from 5604 healthcare workers were included in the analysis. A mixed-effects logistic regression model was used to determine the factors which affected fit testing outcome. Results showed that males experienced a significantly (p<0.05) higher fit test success than females (OR 1.51; 95% CI 1.27 to 1.81). Those with non-white ethnicities demonstrated significantly lower odds of successful respirator fitting; black (OR 0.65; 95% CI 0.51 to 0.83), Asian (OR 0.62; 95% CI 0.52 to 0.74) and mixed (OR 0.60; 95% CI 0.45 to 0.79. During the early phase of COVID-19, females and non-white ethnicities were less likely to have a successful respirator fitting. Further research is needed to design new respirators which provide equal opportunity for comfortable, effective fitting of these devices.
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影响因子：
0.6
作者：
Honarbakhsh, Marzieh;Jahangiri, Mehdi;Shabani, Fatemeh
通讯作者：
Shabani, Fatemeh
影响因子：
2.9
作者：
Carvalho CYM;Schumacher J;Greig PR;Wong DJN;El-Boghdadly K
通讯作者：
El-Boghdadly K
影响因子：
2.6
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Rees, David
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影响因子：
8.1
作者：
Chopra J;Abiakam N;Kim H;Metcalf C;Worsley P;Cheong Y
通讯作者：
Cheong Y
影响因子：
2.5
作者：
Brienza, David;Vallely, Jaxon;Gefen, Amit
通讯作者：
Gefen, Amit